Organization Active NPI

David W Powell MD Dermatology PA

  • Dermatology Physician
  • Sugar Land, TX
National Provider Identifier
1760619944
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
J9788 Issued in TX
Legal business name
DAVID W POWELL MD DERMATOLOGY PA
Practice address
1327 Lake Pointe Pkwy
Suite 416
Sugar Land, TX 77478-4095
Phone
(281) 494-0050
Fax
(281) 494-0075
NPI assigned
Jun 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David W. Powell, MD
Title
Owner
Phone
(713) 208-9344

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X J9788 TX Primary
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X PA05189 TX

Addresses

Primary practice location

1327 Lake Pointe Pkwy
Suite 416
Sugar Land, TX 77478-4095

Mailing address

1327 Lake Pointe Pkwy
Suite 416
Sugar Land, TX 77478-4095
Phone (281) 494-0050

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

7737 Southwest Fwy
Ste 760
Houston, TX 77074
Phone (713) 772-7779

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1760619944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 LAKE POINTE PKWY",
            "address_2": "SUITE 416",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784095",
            "telephone_number": "281-494-0050",
            "fax_number": "281-494-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 LAKE POINTE PKWY",
            "address_2": "SUITE 416",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784095",
            "telephone_number": "281-494-0050",
            "fax_number": "281-494-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID W POWELL MD DERMATOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-16",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-208-9344",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "J9788",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA05189",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.